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- W2910075794 abstract "Many people with HIV in China were infected as a result of unsafe blood plasma selling in central China in the early 2000s. To manage the epidemic among poor patients who at that time lacked medical insurance, the Chinese Government issued the Four Frees and One Care policy in 2003: free HIV testing, free antiretroviral therapy (ART), free prevention of maternal-to-child-transmission of HIV, and free education for HIV-infected children. 1 Zhang FJ Pan J Yu L Wen Y Zhao Y Current progress of China's free ART program. Cell Res. 2005; 15: 877-882 Crossref PubMed Scopus (129) Google Scholar From 2005 to 2015 in China, the proportion of people living with HIV who were diagnosed increased from 10% to 68%, ART coverage increased from 30% to 67%. 89% of those who received a viral load test in 2015 had achieved viral suppression. Adolescents, racial and ethnic minorities, and injecting drug users were the groups of people least likely to achieve these milestones. 2 Ma Y Dou Z Guo W et al. The human immunodeficiency virus care continuum in China: 1985–2015. Clin Infect Dis. 2018; 66: 833-839 Crossref PubMed Scopus (51) Google Scholar The number of patients on the National Free Antiretroviral Therapy Program (NFATP) reached nearly 600 000 by 2017. Meanwhile, mortality among patients eligible for ART in 2009 fell by 64% compared with 2002. 3 Zhang F Dou Z Ma Y et al. Effect of earlier initiation of antiretroviral treatment and increased treatment coverage on HIV-related mortality in China: a national observational cohort study. Lancet Infect Dis. 2011; 11: 516-524 Summary Full Text Full Text PDF PubMed Scopus (228) Google Scholar With growing evidence for the benefit of earlier treatment, 4 WHOConsolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. 2013. http://www.who.int/hiv/pub/guidelines/arv2013/download/en/Date accessed: December 6, 2018 Google Scholar , 5 Grinsztejn B Hosseinipour MC Ribaudo HJ et al. Effects of early versus delayed initiation of antiretroviral treatment on clinical outcomes of HIV-1 infection: results from the phase 3 HPTN 052 randomised controlled trial. Lancet Infect Dis. 2014; 14: 281-290 Summary Full Text Full Text PDF PubMed Scopus (369) Google Scholar China adjusted the ART enrolment criteria to include all HIV-infected patients regardless of CD4 cell counts in 2016. 6 NCAIDSChina free antiretroviral treatment manual. 4th edn. People's Medical Publishing House, Beijing, China2016 Google Scholar But challenges remain for China to reach the UNAIDS 90-90-90 targets." @default.
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- W2910075794 date "2019-01-01" @default.
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- W2910075794 title "Progress and challenges in China's free ART programme" @default.
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